在患有肠-大脑相互作用障碍的儿童中,心理困扰和应对有效性
Neha R Santucci1,2, Carlos Alberto Velasco-Benitez3, Natoshia Cunningham4
1Pediatric Gastroenterology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Neurogastroenterology and motility
|December 10, 2023
概括
哥伦比亚有肠-大脑相互作用障碍 (DGBIs) 的学童表现出更高的心理痛苦,包括焦虑和体化,以及较低的应对效率. 这些发现强调了在DGBI治疗中需要解决心理因素的必要性.
科学领域:
- 儿科心理学 儿科心理学
- 胃肠病学 胃肠病学
- 心理健康研究 心理健康研究
背景情况:
- 肠-大脑相互作用障碍 (DGBIs) 受心理因素的影响.
- 了解受影响儿童的心理痛苦对于有效管理至关重要.
研究的目的:
- 评估哥伦比亚有或没有DGBI的学童的心理痛苦.
- 为了比较患有DGBI的儿童与他们的健康同龄人之间的心理因素.
主要方法:
- 来自哥伦比亚的1496名学童 (8-18岁) 参与了这项研究.
- 经过验证的问卷评估了DGBIs,焦虑 (儿童状态特征焦虑清单),体化 (儿童体化清单) 和应对有效性.
- 在患有DGBI,功能性腹痛障碍 (FAPD) 和健康对照儿童之间比较了数据.
主要成果:
- 与健康同龄人相比,患有DGBI的儿童报告了显著更高的特征焦虑,情绪敏感性和体化 (p <0.001每个) 和较低的应对效率 (p = 0.02).
- 女性表现出更高的特征焦虑和体化.
- 与健康年轻人相比,患有FAPD的儿童也表现出增加的特征焦虑和体质化.
结论:
- 心理困扰,包括焦虑和身体化,在患有DGBI的儿童中更为普遍.
- 在这个人群中,较低的应对效率与DGBIs有关.
- 对DGBI的治疗应包括专注于性和冲突解决的心理干预.
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